Abc Pediatric Therapy, LLC
Organization Active NPI Early Intervention Provider Agency · Oxford, NC
NPI 1124086822 · NPPES record last updated Jul 30, 2020
Key facts
- NPI
- 1124086822
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Legal business name
- ABC PEDIATRIC THERAPY, LLC
- Practice address
- 153 Old Warehouse SQ
Oxford, NC 27565-2957 - Phone
- (919) 693-1671
- NPI assigned
- May 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kelli Bentsen, PT
- Title
- Manager
- Phone
- (919) 693-1671
Practitioners 17
-
Maria Lee Modzelewski, ED.S.
-
Lori Borden, PT
-
Scharla Keeton, OTR/L
-
Jean M McNamara, P.T.
-
Jamie Botelho Wineland, MS, OTR/L
National Provider Directory
Locations
118 W McClanahan St
Oxford, NC 27565
Phone (919) 693-1671
153 Old Warehouse Sq
Oxford, NC 27565
Phone (919) 693-1671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Pediatric Physical Therapist |
2251P0200X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
153 Old Warehouse SQ
Oxford, NC 27565-2957
Mailing address
1010 Brooks Bay Dr
Erie, PA 16505-5706
Phone (252) 213-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102970525002 | Medicaid | PA | |
| 8300020 | Medicaid | NC | |
| 013P7 | Other | NC | BCBS GROUP NUMBER |
| 7211211 | Medicaid | NC |
Other providers in Oxford, NC
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- 1St Choice Home Care
- 808 Loop Home Health Services
- A Divine Lifestyle
- Albin John Abraham
- Brittany Adams
- John Adams
- Julie Jones Adcock
- Richard Lowell Alexander
All providers in Oxford, NC · Early Intervention Provider Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.